FGF-trapping hampers cancer stem-like cells in uveal melanoma

Alessandra Loda1, Stefano Calza1, Arianna Giacomini1

  • 1Department of Molecular and Translational Medicine, University of Brescia, viale Europa 11, 25123, Brescia, Italy.

Abstract

Insights

Targeting the Fibroblast Growth Factor (FGF)/FGF receptor (FGFR) pathway may offer a novel therapeutic strategy for Uveal Melanoma (UM). This approach can effectively target cancer stem-like cells (CSCs) responsible for tumor initiation and resistance.

Area of Science:

  • Oncology
  • Ophthalmology
  • Molecular Biology

Background:

  • Cancer stem-like cells (CSCs) drive tumor initiation, metastasis, and treatment resistance in various cancers.
  • Uveal Melanoma (UM), the most common primary eye tumor, exhibits high resistance to systemic chemotherapy.
  • Effective therapies are urgently needed to improve patient survival in UM.

Purpose of the Study:

  • To identify and analyze a subset of UM CSCs with stem-like properties.
  • To investigate the role of the Fibroblast Growth Factor (FGF)/FGF receptor (FGFR) signaling pathway in UM stemness.
  • To explore the therapeutic potential of targeting the FGF/FGFR axis in UM.

Main Methods:

  • Utilized a pan Fibroblast Growth Factor (FGF)-trap molecule to isolate and study UM CSCs.
  • Performed hierarchical clustering on The Cancer Genome Atlas (TCGA) gene expression data to identify patient clusters.
  • Assessed stemness markers, aldehyde dehydrogenase (ALDH) activity, and tumor-sphere formation capacity.

Main Results:

  • Disruption of FGF/FGFR signaling identified an FGF-sensitive UM population with enhanced stemness markers and ALDH activity.
  • FGF inhibition reduced UM CSC survival and tumor growth in vivo (chorioallantoic membrane assay).
  • Hierarchical clustering of TCGA data revealed correlations between FGFs/FGFRs and stemness genes, defining three distinct clinical outcome clusters.

Conclusions:

  • The FGF/FGFR axis is a key regulator of cancer stemness in primary UM.
  • Targeting the FGF/FGFR pathway represents a promising novel therapeutic strategy against UM CSCs.
  • Anti-FGF treatments could effectively target the CSC component in Uveal Melanoma.